Female Issues

Female sexual arousal disorder (FSAD) refers to the per Sexual Arousal Consistence or recurrent inability of a woman to achieve or maintain an adequate lubrication-swelling response during sexual activity. This lack of physical response may be either lifelong or acquired, and either generalized or situation-specific. FSAD has both physiological and psychological causes. The results of FSAD are often sexual avoidance, painful intercourse, and sexual tension in relationships.

t is important to understand that infertility is a couple issue(10%) and recognize that infertility can be attributed to the male (40%), not just the female (40%), hence there is a need for both individuals to be consulted and willing to undergo a series of tests and assessments.
Also couples need to be aware that there are degrees of fertility and that the majority of couples are actually sub-fertile – ie they produce eggs and sperm but have difficulty conceiving due to disorders such as hormone imbalances and problems of the reproductive tract. However cases of total infertility are rare and therefore a woman’s future fertility may be viable.

It is surprisingly common, yet many women do not realise that the incidence is 1 in 5. Many women that have one or more children have experienced a miscarriage at some stage.

Recurrent miscarriage is defined as three consecutive miscarriages and usually a number of tests are recommended to ensure that there is no underlying cause. A series of blood tests can be done to ensure that there is no incompatibility with blood type or immunological problems.

The test results will often be negative but at least there is reassurance in knowing that there is nothing else you can do – except to surrender to the situation, remain positive, regain some normality in your daily life, and pursue an enjoyable sex life – with less emphasis (if possible) on conception per se, and importantly seek emotional support as this is critical.

Pre-natal issues include the spectrum of Miscarriage and subsequent sex and Conception/IVF and Associated Issues and also pregnancy issues.

Sex during Pregnancy

For the vast majority of women, sexual intercourse and orgasm during pregnancy are safe unless you have been specifically advised (by your obstetrician or gynaecologist) to avoid intercourse. Sex may not be safe if a woman has:

• Unexplained vaginal bleeding;
• Abdominal pain, cramping or contractions;
• Ruptured membranes (ie. if her waters have broken);
• Premature dilation of the cervix; or other factors that may put her at high risk of premature labour eg past history of premature delivery or a multiple pregnancy.

Sex during pregnancy is safe and enjoyable for most couples. However, pregnancy is a time of many changes, both physical and emotional. These changes may alter a woman’s sexual interest or desire. In addition, physical discomforts of pregnancy or fears of harming the baby can affect a couple’s sexual relationship.

Many women experience a decrease in sexual desire as their pregnancy progresses. This is normal, and in most cases sexual desire returns to normal some time after delivery. Conversely other women experience no change in sexual drive or even an increased interest in sex during pregnancy. This is also normal and healthy.

‘Coming’ isn’t that easy, if you’re a woman. Nearly all men can climax without difficulty, but women just aren’t built that way. Unfortunately, not everyone knows this all-important fact – even in 2011. This is partly because books, films and – most of all – internet porn paint a picture in which today’s females are hot and raring to go, and in an almost constant state of sexual ecstasy.

This inaccurate portrayal can lead to today’s teens and 20-somethings believing that there’s something wrong with them if they can’t climax to order. The truth, however, is that most of them are absolutely normal. Interestingly, only a generation ago many doctors believed that a high proportion of the female population simply couldn’t climax at all.
Why did they think this way? Simply because most of them had had little or no training in sexual medicine.

Also, the majority of them were so embarrassed about sex themselves that they tried to avoid discussing it with their patients. Furthermore, since women don’t need to climax in order to conceive, most doctors didn’t rate the importance of the female orgasm very highly.

Dyspareunia is painful sexual intercourse, due to medical opre or post natalr psychological causes. The symptom is significantly more common in women than in men, affecting up to one-fifth of women at some point in their lives.The causes are often reversible, even when long-standing, but self-perpetuating pain is a factor after the original cause has been removed.
A medical evaluation of dyspareunia focuses initially on physical causes, which must be ruled out before psychogenic or emotional causes are considered. In the majority of instances of dyspareunia, there is an original physical cause.

Vaginismus is a condition where there is involuntary tightness of the vagina during attempted intercourse. The tightness is actpre or post natalually caused by involuntary contractions of the pelvic floor muscles surrounding the vagina. The woman does not directly control or ‘will’ the tightness to occur; it is an involuntary pelvic response. She may not even have any awareness that the muscle response is causing the tightness or penetration problem.
In some cases vaginismus tightness may begin to cause burning, pain, or stinging during intercourse. In other cases, penetration may be difficult or completely impossible.

Menopause literally means the “end of monthly cycles”. Menopre or post natalpause is an event that typically (but not always) occurs in women in midlife, during their late 40s or early 50s, and it signals the end of the fertile phase of a woman’s life. However, rather than being defined by the state of the uterus and the absence of menstrual flow, menopause is more accurately defined as the permanent cessation of the primary functions of the ovaries: the ripening and release of ova and the release of hormones that cause both the creation of the uterine lining, and the subsequent shedding of the uterine lining.